Individual provider Active NPI

Kenya Cannonier, FNP-BC, PMHNP-BC

  • Family Nurse Practitioner
  • San Francisco, CA
National Provider Identifier
1043607658
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00564600 Issued in NJ
Practice address
2261 Market St
San Francisco, CA 94114-1612
Phone
(862) 255-8112
Fax
(862) 298-0816
NPI assigned
Apr 21, 2015
Last updated
Apr 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00564600 NJ Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ00564600 NJ
Psychiatry Physician 2084P0800X 26NJ00564600 NJ

Addresses

Primary practice location

2261 Market St
San Francisco, CA 94114-1612

Mailing address

27 Holstone LN
Willingboro, NJ 08046-1817
Phone (862) 255-8112

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA, DE3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20160418002024 NJ Practitioner - Nurse Practitioner 4385964246 Reassigns benefits to 3 organizations
I20211115000029 PA Practitioner - Nurse Practitioner 4385964246 Reassigns benefits to 2 organizations
I20211115000038 DE Practitioner - Nurse Practitioner 4385964246 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
May accept Medicare assignment
Group practices
Mind Your MindGroup PAC ID 6002242690, 22 clinicians

Practice addresses (Care Compare)

2083 Klockner Rd
Hamilton, NJ 08690-3415
Phone (609) 222-4922

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ00564600NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mind Your Mind CurrentSince Mar 27, 2025 Accepting new patients
Consonant Healing Medical Associates of NJ LLC CurrentSince Nov 15, 2021 Accepting new patients
Consonant Healing Medical Associates CurrentSince Nov 8, 2021 Accepting new patients
Psychogeriatric Services LLC Psychiatry CurrentSince Oct 13, 2022 Accepting new patients
Consonant Healing Associates of de LLC CurrentSince Nov 8, 2021 Accepting new patients

Locations

231 S Washington St
Millsboro, DE 19966
Phone (302) 645-4664

12073 Tech Rd
Ste B
Silver Spring, MD 20904
Phone (240) 396-5873

909 Ridgebrook Rd
Ste 220
Sparks Glencoe, MD 21152

909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300

2381 Lawrenceville Rd
Lawrenceville, NJ 08648
Phone (609) 896-8152

100 Challenger Rd
#205
Ridgefield Pk, NJ 07660

2083 Klockner Rd
Trenton, NJ 08690
Phone (609) 222-4902

905 Tower Rd
#3188
Bristol, PA 19007
Phone (215) 785-3201

595 Biglerville Rd
Gettysburg, PA 17325
Phone (717) 334-6249

146 E King St
Lancaster, PA 17602
Phone (302) 990-2323

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1429574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1043607658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 HOLSTONE LN",
            "city": "WILLINGBORO",
            "state": "NJ",
            "postal_code": "080461817",
            "telephone_number": "862-255-8112",
            "fax_number": "862-298-0816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2261 MARKET ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941141612",
            "telephone_number": "862-255-8112",
            "fax_number": "862-298-0816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNONIER",
        "first_name": "KENYA",
        "credential": "FNP-BC, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-21",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00564600",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00564600",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "26NJ00564600",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.